Why Do Health Insurance Companies Deny Claims?

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   Steve Savant

   Syndicated Financial Columnist, Host of the weekly talk show Steve Savant's Money, the Name of the Game, Scottsdale Arizona

   Generally, medical claim disputes occur over contract definitions, perceived benefits not covered and various forms of fraud, i.e. misstatements, misleading information or material omission of fact. (Sometimes the agent has misrepresented the benefits as well.) Sometimes benefits are not paid until deductibles are satisfied and/or late payments beyond the grace period.

   Answered on July 28, 2013

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